Appendicitis Old

• Clinical features

  • Chronic and atypical history

  • Possible low-grade fever

  • Confusion

  • Subtle abdominal guarding

• Diagnostics: Imaging should be considered regardless of the scores.

  • Consider diagnostic laparoscopy if imaging findings are inconclusive.

  • Consider colonoscopy after treatment of acute appendicitis to rule out early colonic malignancy.

• Complications: Older patients are more likely to develop complications, especially perforated appendix.

Individuals > 60 years of age have a higher risk of perforation!